Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study
Department of Population and Quantitative Health Sciences
Behavioral Medicine | Epidemiology | Health Psychology | Health Services Research | Psychiatry and Psychology
Objectives: Nonadherence to medications has been documented, but the combined effect of social risk factors on medication nonadherence has not been investigated.
Methods: We conducted a cross-sectional analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a population-based prospective cohort. The sample (N = 1506) included subjects who at Year 20 (2005-06) were taking prescription medications and completed a 4-item Medication Adherence Scale. Social risk factors were education of high school or less, annual household income < $25,000, high financial strain, high chronic stress, low social support, and high social strain.
Results: In a fully adjusted logistic regression model, income < $25,000 (OR = 2.37 [95% CI 1.12-4.98], p < .05) and high chronic stress (OR = 2.07 [95% CI 1.09-3.94], p < .05) were significantly associated with medication nonadherence. Individuals with > /=3 social risk factors had > 3 times higher odds of nonadherence than counterparts with no social risk factors (OR = 3.26 [95% CI 1.72-6.19], p < .001).
Conclusion: Low income and chronic stress are associated with medication nonadherence, and the odds of nonadherence increase with the accumulation of social risk factors. Findings may be used to develop risk prediction tools to identify individuals who can benefit from adherence-promoting interventions.
medication adherence, social factors, income, chronic stress
DOI of Published Version
Oates GR, Juarez LD, Hansen B, Kiefe CI, Shikany JM. Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study. Am J Health Behav. 2020 Mar 1;44(2):232-243. doi: 10.5993/AJHB.44.2.10. PMID: 32019655. Link to article on publisher's site
American journal of health behavior
Oates GR, Juarez LD, Hansen B, Kiefe CI, Shikany JM. (2020). Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study. Population and Quantitative Health Sciences Publications. https://doi.org/10.5993/AJHB.44.2.10. Retrieved from https://escholarship.umassmed.edu/qhs_pp/1330